For me, honestly it's because there's more long term data on semiglutide compared to trizepitide. Also I don't have that much to lose - 3.5 stone - I need to get on and do it for sure, but if I lost a stone and a half I'm down to BMI of 27. MJ felt like a bit of a sledgehammer in my circumstance, given how much it works on appetite suppression.
I want to diet and I need help controlling my hunger while I get on and do it. I don't have horrendous food noise until I start dieting - it's like psychologically the moment you tell me I can't have something, it's all I can think about, which has twarted my attempts to lose the weight so far. Off diet though and living normally, I don't think about food that much.
My DH on the other hand, has a lot more weight to lose - 7stone+. He has alot of obesity related risk factors, including fatty liver disease. He has a poor relationship with food, and his food noise is off the scale all the time.
So he's going on MJ. For me, I don't think I need such the dual action, more effective/aggressive med - but I know I can swap to MJ if it comes to it. I don't know if the way I've thought it through is correct or not. I may well regret my decision, but it feels like a rational approach. Only time will tell.
I'm genuinely hoping I can stay on the lower dose of wegovy throughout. Equally there's a bit of a placebo effect. These meds are no joke and I am someone who will always follow the rules. So by injecting it - even if it doesn't help my appetite suppression, I am acutely aware that fatty/greasy foods will likely make me feel sick, that I need to eat smaller portions because of the slower digestion, that drinking water is key as is eating protein and lifting weights. So even if its not doing much for my appetite, just knowing that I'm taking it - will to some degree stop me making bad choices because of the risk of side effects, if that makes sense?